Provider Demographics
NPI:1013351766
Name:PLASTIC SURGERY OF CENTRAL FLORIDA, LLC
Entity Type:Organization
Organization Name:PLASTIC SURGERY OF CENTRAL FLORIDA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:ARABITG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-704-3337
Mailing Address - Street 1:95 W KALEY ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-2943
Mailing Address - Country:US
Mailing Address - Phone:407-704-3337
Mailing Address - Fax:407-730-3878
Practice Address - Street 1:95 WEST KALEY ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806
Practice Address - Country:US
Practice Address - Phone:407-704-3337
Practice Address - Fax:407-730-3878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-24
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME69082208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty